Bioidentical hormone replacement therapy (BHRT) uses hormones structurally identical to those your body produces. This page covers who it helps, how we prescribe and monitor it, and what it costs. Care is in person at our Midlothian office on Colony Crossing, serving Chesterfield County and greater Richmond. For the broader women’s program, including non-bioidentical options, see hormone replacement therapy for women in Richmond, VA.
The evaluation is the first step for our hormone, weight, and longevity programs. Looking for everyday primary care? Direct Primary Care members enroll online, no evaluation needed.
Bioidentical hormones are structurally identical to what your body produces: estradiol, progesterone, and in some cases testosterone. Traditional hormone replacement therapy has historically used synthetic or animal-derived versions.
At Venture Wellness we use bioidentical formulations and match the delivery method to your labs, symptoms, and history. We offer injections, patches, oral forms, creams, and a vaginal ring. We do not offer pellets or troches. When hormones are used, they are prescribed thoughtfully, monitored closely, and adjusted based on symptoms, not just lab numbers.
Hormone signaling is different in women and men, so the care is too. Choose the page that fits you.
Sleep disruption, night sweats, hot flashes, mood changes, brain fog, weight changes, and low libido. Hormone shifts often begin years before periods stop.
PCOS and PMDD support, fertility evaluation and planning, fourth-trimester (postpartum) hormone support, and testosterone and androgen balance for women.
Fatigue that doesn’t respond to sleep, strength that’s harder to keep, low drive, and brain fog, evaluated with free and total testosterone, estrogen balance, thyroid, and metabolic function.
Hormone signaling, receptor responsiveness, metabolism, and tissue response all occur on different timelines. Introducing support too quickly, or focusing on a single hormone without context, can lead to incomplete results or unwanted side effects.
Hormones also don’t act alone. Estrogen, progesterone, testosterone, thyroid signaling, and stress hormones influence one another, which is why we evaluate them together and give your body time to stabilize before optimizing.
A staged approach supports safer initiation, better symptom resolution, and more sustainable long-term outcomes.
Your new patient evaluation includes a detailed intake, a medical history review, and comprehensive lab work. We go through your personal and family history together and discuss what the current evidence supports. You leave with clarity, not a follow-up to schedule a follow-up.
All care is individualized and provided by a licensed medical provider. Results vary based on individual factors.
Women under 50: perimenopause rarely starts with hot flashes. Take the two-minute early symptom check and get the free BHRT Guide.
Many of our patients arrive already on treatment: from a telehealth-only clinic, a practice that has closed or changed hands, a provider who never adjusted the dose, or a pellet clinic they’ve outgrown. Switching is routine for us, and there is no gap in your care.
We transition patients off pellets regularly. Pellets release hormone gradually, so the best time to make the change is close to when your next insertion would be due. Book your evaluation a few weeks ahead of that date so your new plan is ready when the pellet wears off.
Bioidentical hormones are structurally identical to what your body produces: estradiol, progesterone, and in some cases testosterone. Traditional HRT has historically used synthetic or animal-derived versions. We use bioidentical formulations and match the delivery method to your labs, symptoms, and history.
We offer injections, patches, oral forms, creams, and a vaginal ring, and we match the form to your labs, symptoms, history, and preferences. We do not offer hormone pellets or troches.
Safety depends on your individual history, which is why we start with a full medical review and comprehensive labs rather than a standard protocol. We go through your personal and family history together, discuss what the current evidence supports, and monitor on an ongoing basis. For more on one common concern, see our article on bioidentical hormone therapy and breast cancer.
For women, sleep and mood often shift within the first few weeks, while energy, libido, and cognitive clarity commonly take six to twelve weeks. For men on testosterone, early improvements in energy and mood are often noticed within 3–4 weeks, with full benefits developing over 3–6 months. We monitor your labs and symptoms and fine-tune your dose as you progress. Results vary from person to person.
No. Many of the women we see are in perimenopause: still cycling, but dealing with sleep disruption, mood changes, or cycle irregularity. Evaluating early gives us a clearer baseline to work from.
Possibly. Many people are told their levels are “normal” while living with real symptoms. Normal by a lab reference range is not the same as optimal for how you function. We look at more markers, and at how they relate to each other and to your symptoms, before recommending anything.
The new patient evaluation is $155. The comprehensive lab panel is billed to your insurance by the lab, or $195 self-pay. Ongoing care runs quarterly and starts as low as $160 a month. Your plan and its cost are reviewed with you before you continue.
No. Once you’re an established patient, follow-up visits can be done by video. Patients come to us from Richmond, Short Pump, Glen Allen, Chesterfield, Chester, Powhatan, and further out, including Blackstone, Crewe, and Fredericksburg.
We care for patients from Midlothian, Richmond, Chesterfield County, Bon Air, Powhatan, and Chester, and across the greater Richmond area. Visits are in person at our Midlothian office, and by telehealth when it’s clinically appropriate.
Updated September 2026
